Crash Course Four Sponsors

Transcription

1 Slide 1 Revised: Monday, May 30, P 1 Slide 2 2 Slide 3 Welcome to contra costa s on Mental Illness 3

2 Slide 4 Four Sponsors NAMI Contra Costa MANAGING PARTNER Mon243PWWWW Slide 5 First offered February 3, 2016 Will be offered EVERY Wednesday of the year without exception. A 90 minute orientation to the mental health field You will be given printouts to take home that will give all the details, addresses phone numbers, etc. You can access the entire presentation on the website for review in the quiet of your home. 5 Slide 6 Workgroup Partners & Volunteers Lela Clark Robert Thigpen Dave Kahler & Peggy Harris Greg Beckner Charles & Sharon Madison

3 Slide 7 Also One of the Principle Authors Kimberly Krisch George & Cynthia Miller Wellness Center Behavioral Health Community Support Worker Martinez, CA Slide 8 Cell Phones and Pagers Leave them On! 8 Slide 9 Whenever you go to a university or college They start you with an Orientation! This is the orientation for the mental Health field. 9

4 Slide 10 Case Managers 10 Slide 11 From the Families 11 Slide 12 Our Paramount Goal Is to get one of the family members To become The Family Case Manager

5 Slide 13 The Family Case Manager Would use the Survival Guide s five Points The five points: 1. Set of files 2. Journal 3. One Page Summary 4. Signed Release of Confidentiality 5. Written Strategy 13 Slide 14 A separate, permanent filing Cabinet Housing Mental Health documents ONLY. Note: From this time on, you should have sticky fingers and Get your hands on every document you come in contact with! 14 Slide 15 The Journal A three-ring binder, Divided into 4 Sections 15

6 Slide 16 The Third Point Is The One Page Summary 16 Slide 17 Release of Confidentiality Authorization to Disclose Information HIPAA Laws Protect Patients Privacy Have your Loved One / Family Member sign Consent Form when he/she is doing well Sign a Form for each Healthcare Provider Psychiatrist Therapist Primary Care Physician (PCP) Sign Forms Annually Slide 18 Do not Underestimate The imperative aspects of the written strategy! Number 5 on the Survival Guide list 18

7 Slide Slide 20 Here are some pictures of the Resources You may have need of: 20 Slide Contra Costa Regional Medical Center- The County Hospital

8 Slide 22 Hospital 22 John Muir Behavioral Health-Concord Hope House 2016 Slide 23 PES 23 Slide 24 Diagnosis How is the diagnosis Arrived at? 24

9 Slide 25 The Doctor arrives at a diagnosis based on subjective observations of the subject s behavior. And your reports. The DSM may be used 25 Slide Slide 27 Note: You are the world s foremost expert on your loved one s behavior!! 27

10 Slide 28 At this point it is important for you to understand the financial aspects of the system and how they drive decisions. 28 Slide Slide 30 Monthly Costs: Acute Care Ward 4C: $44,880. Sub Acute Facilities: 8, % State Hospital: 15, % Martinez Detention Facility 1,830 4% 30

11 Slide 31 Martinez Detention Facility Opened in 1981 The largest psychiatric facility in the county Averages about 150 mentally ill persons M Module has 45 beds 1955: 340 beds per 100, : 14 beds per 100,000 Note: 50 beds per 100,000 is a minimum 31 Slide 32 Total: Behavioral Mental Health Budget $186 Million 34 Million from MHSA Plus money from Realignment and Federal Reimbursement(Medi-Cal) 32 Slide 33 Results in: Million Shortfall Paid from County Funds 33

12 Slide 34 If Your Loved One Is Over 18 A signed Release of Confidentially Is Required 34 Slide 35 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 HIPAA Slide 36 Release of Confidentiality Authorization to Disclose Information HIPAA Laws Protect Patients Privacy Have your Loved One / Family Member sign Consent Form when he/she is doing well Sign a Form for each Healthcare Provider Psychiatrist Therapist Primary Care Physician (PCP) Sign Forms Annually

13 Slide 37 Have you heard this one? 37 Slide 38 I am not mentally ill And I don t appreciate you telling that I am You are doing it because you don t like me and never did You have a hidden agenda That s why the CIA and the FBI are tapping my phone and tailing me all the time 38 Slide 39 The subject is in: DENIAL 39

14 Slide 40 A Technical Term is: ANOSOGNOSIA 40 Slide 41 A Deficit of Self Awareness 41 Slide 42 Physiological Damage To the Brain s Frontal Lobe 42

15 Slide 43 A Classic Book. 43 Slide 44 Crazy Pete Earley 44 Slide 45 A Classic Book. 45

16 Slide 46 Available on You Tube youtube.com Dr. Amador has 10 films on YouTube.com You can watch FREE! 46 Slide 47 NAMI s Cost: $ Slide 48 A Helpful Exercise Think through just what your loved is thinking when his or her behavior is out of line. 48

17 Slide 49 EMPATHY The capacity for participating in Another s feelings or Ideas Slide 50 What Is A Crisis? From the family s perspective From the patient s perspective From the Caregiver s perspective 50 Slide 51 What Is A Crisis? From the Family s Perspective: It is the loss of a tranquil environment. Loss of control. Fear of what the behavior might Turn into. 51

18 Slide 52 What Is A Crisis? From the Consumer s Perspective. It would entirely depend on Where the loved one was in Whatever cycle the person Was in. 52 Slide 53 What Is A Crisis? From the caregiver s perspective. They are looking for the LPS Law s Criteria Danger to self, Danger to others or Gravely disabled. And/or in actual psychosis. 53 Slide 54 Questions We will answer your questions at the end of the presentation. There is also a box on the back table for your written questions. Please put your name and E mail address on it. 54

19 Slide 55 Levels of Care 55 Slide 56 In Patient Care Acute Care- Ward 4C- at the CCRMC John Muir Concord- Napa State Hospital- Atascadero State Hospital Sub Acute Care- Crisis Residential Facilities- Crestwood Healing Centers 56 Slide 57 Acute Care Ward 4 C Contra Costa Regional Medical Center 23 beds- Average Stay-a few days to a few weeks Napa State Hospital-Atascadero 57

20 Slide 58 Acute Care Psychiatric Facilities John Muir Behavioral Health Concord Campus North 2740 Grant Street, CONCORD Psychiatric Unit on 4C Contra Costa Regional Medical Center 2500 Alhambra Ave., MARTINEZ Slide 59 INPATIENT TREATMENT Acute Care Patients Rights Patient is Admitted to Acute Care Psychiatric Facility - Meets 5150 Criteria (Grave Disability, DTS, DTO) Patient remains unstable and 72-Hour Hold is nearing end Psychiatric Treatment Team Files WIC Day Certification with Court Patient has right to challenge legitimacy of confinement or conditions of confinement by making request of any medical staff Possible violation of patient s constitutional and statutory rights if denied Director of Acute Care Psychiatric Facility informs court of patient request of release Patients Rights Advocate available to support patient in completing forms, filing petition, supporting patient in any hearings Judicial Hearing takes place within 2 days of patient filing Writ of Habeas Corpus Slide 60 LPS Conservatorship Guardianship I Process Starts in ACUTE CARE Facility with Psychiatrist Patient deemed Gravely Disabled Patient considered highest level of vulnerability 2016 Patient is unwilling to accept psychiatric treatment voluntarily Referral made to CCBHS Public Guardian s Office for. Temporary Conservatorship (T-CON) Acute Care Facility Chief/Director signs T-CON authorizes facility to make decisions for psychiatric care. and treatment for days (Can be up to 6 months) 60

21 Slide 61 Conservatorship Guardianship II Conservatorship / Guardian Program 2016 Agency conducts investigation, hearing is held Agency serves as Conservator for patient Agency makes decisions regarding psychiatric treatment/care Ensures Conservatee s food, shelter and clothing needs are met Conservatorship can last up to 1 year (1-year term) Legal process must be initiated to get 2 nd year Conservatorship Family Member as Conservator involves Court Approval 61 Slide 62 The Conservatorship / Public Guardianship Program Contra Costa Health Services Conservatorship / Public Guardianship Office 1111 Ward Street 3 rd Floor Martinez, CA Phone: (925) Fax: (925) Linda Arzio, Program Supervisor * Located across from Martinez Detention Center - Jail 62 Slide

22 Slide Slide 65 HANDOUT Summary of Lanterman-Petris Short ACT (LPS) Laws WE must ALL abide by: Peace Officers Mental Health & Healthcare Providers Courts Persons in the community. Summary of Lanterman-Petris Short ACT (LPS) WIC 5150 Up to 72-Hour Hold WIC 5250 Up to 14-Day Hold WIC 5260 Up to 30-Day Hold Temporary Conservatorship (T-CON) Permanent Conservatorship (Up to 1yr term) Slide Up To: 72 Hours From the time the officer wrote the incident up Up to 14 Days 5260 Up To 30 Days T. Con. (Temporary Conservatorship) Up to Six Months Permanent Conservatorship Up To One Year 66

23 Slide 67 Inpatient Acute Care Patient Challenges HOLD Patient Meets with Patients Rights Advocate To File Petition 5250 Hold Gallinot Hearing Hearing Officer Determines Need for Additional 14 Days Hearing Officer Denies 5250 HOLD Patient is RELEASED To the Community Riese Hearing Refusing Medications Hearing Officer Grants 5250 HOLD Patient Remains at Acute Care Facility 4C or JMBH Slide 68 Sub Acute Care Crisis Residential Facilities Crestwood Healing Centers 68 Slide 69 Crisis Stabilization Where persons can stabilize mental.health symptoms and return to.their previous level of functioning.in the community. Referral of Medi-Cal CCHP patients from PES and Acute Care 4C to CCBHS Transition Team Crisis Residential Facility (CRF)I * Opened 2014

24 Slide 70 Crisis Residential Facility (CRF)II Telecare Corp. Contra Costa Hope House 300 Ilene Street, MARTINEZ Anka Behavioral Health, Inc. Nierika House 1959 Solano Way, CONCORD Slide 71 A very important Resource: George and Cynthia Miller Wellness Center 71 Slide Allen Street Martinez, CA Phone: (925) Fax : (925) Miller Wellness Center Behavioral Health Monday Friday 12:00 to 9:00 p.m. * Doors lock at 8:15 p.m. Saturday 8:00 a.m. to 5:00 p.m. * Doors lock at 4:15 p.m Closed Sundays and all major holidays. 72

25 Slide 73 Miller Wellness Center Behavioral Health A Walk-In Transitional Outpatient Behavioral Health Treatment Clinic - Bridge Clinic Persons not currently connected to mental health services Medication refills for persons with appointments months out Clients participating in other County Medi-Cal Treatment Programs Short term services up to 60 days to address immediate issues Persons Meet with A Psychiatrist, LCSW, CSWs, and RN Same day or short term appointments Slide 74 Miller Wellness Center - Behavioral Health Brief Mental Health Screening with LCSW RN Triage Appointment with a Psychiatrist Linkage to services and resources with CSW Initiate Medi-Cal application process Slide MILLER WELLNESS CENTER Behavioral Health Directly across the street from Psychiatric Emergency Services (PES) Medical Emergency Department (ED)

26 Slide 76 Out-Patient Mental Health Treatment Contra Costa County Behavorial Health Access Line Important: This is the door to County Service Access Line: (888) Toll Free # - Link to Medi-Cal Mental Health Provider Network Collocated Behavioral Health Services AOD + MH + Homeless At each of the Clinics At El portal Adult Mental Health -West County Pittsburg Adult Health-East County Slide 77 OUT-Patient Treatment For the Moderate to Severe patients. Adult Mental Health Clinics East, Central & West Co. Referrals from PES, Acute Care (4C), Mental Health Access Line, Miller Wellness Center Behavioral Health Children & Adolescent Mental Health Clinics - East, Central & West Co. Levels of Mental Health Treatment II Referrals from PES, Acute Care (4C), Mental Health Access Line, Miller Wellness Center - Behavioral Health George & Cynthia Miller Wellness Center Behavioral Health Walk-in Transitional Clinic for Adults, Children and Adolescents Slide 78 Levels of Mental Health Treatment I OUT-Patient Treatment - Medicare Partial Hospitalization Program (PHP) 5-Day Intensive Therapeutic Services Psychiatric Evaluation / Assessment Individualized Treatment Plan Program Objectives Prevent hospitalization In-patient hospitalization alternative Reduce symptoms and relapse Stabilize by reintegrating into the community 1333 Willow Pass, CONCORD 2016 Phone: (925) Portia Bell Hume Behavioral Health & Training Center The Hume Center

27 Slide 79 The First Hope Program Treats people before Their first break Slide 80 First Hope: Early Intervention To prevent Psychosis An MHSA Funded Program For ages 12 to 25 who are showing early signs of psychosis. Must be a resident of Contra Costa County %Dr. Nancy Ebbert Slide 81 81

28 Slide 82 Criminal Justice System 82 Slide 83 is A Critical Website 5150crisis.com Slide 84 84

29 Slide Peace Officers Police Sheriffs ADD 1 Slide 86 When an Incident Occurs and 911 is called: If the Incident involves The breaking of a law, The subject would be taken to the Martinez Detention Facility (Jail) If the Officer sees that the subject meets the LPS Criteria: Danger to Self or Others, the officer would call an ambulance and send the subject top the LPS The Police Officer Has three choices If the decision is neither of the above, the subject would be free to go. The When the patient does not meet Family Case Manager would the criteria have a strategy for that. 86 But has a substance use related issue, refer to AOD Here is where the WRITTEN Strategy Really Comes In! Slide 87 Alcohol and Other Drugs 87

30 Slide 88 The Many AOD Phone Resources. 88 Slide 89 Alcohol and Other Drug Services Is the life of your loved one affected by the use of alcohol and other drugs? Need to access outpatient counseling, residential treatment, detoxification, and support groups for men, women, families and youth. Addicted to prescription drugs? 89 Slide 90 If you need to talk to a substance abuse counselor or need information about AOD (Alcohol and Other Drugs) Treatment Resources Toll Free:

31 Slide Slide Slide 93 93

32 Slide Slide 95 Crash Course 95 Slide 96 96

33 Slide Slide Slide This is an actual copy from the penal code.

34 Slide * M-Module is where persons with physical and/or mental health disabilities are held. COULD Lead to 5250 Hold - * Lanterman Petris Short (LPS) Patient NO LONGER Meets 5150 CRITERIA Patient Released 5150 HOLD Lifted Slide 101 NN ** PES = Psychiatric Emergency Services PES 1st CLINICAL Psychiatric ASSESSMENT / EVALUATION CAN Lead to 5250 Hold * Lanterman Petris Short (LPS) 14 Day HOLD Loved One DOES NOT MEET 5150 CRITERIA Patient RELEASED 5150 Hold PES Admission to ACUTE CARE Mental Health Facility Slide 102 Psychiatric Emergency Services (PES)I PES located at Contra Costa Regional Medical Center Next to CCRMC Medical Emergency Department NO Beds in PES Patients Rest in Recliners Emergency Services for. Persons Exhibiting Symptoms. Due to a Severe Mental Illness Patients are Discharged according to specific needs

35 Slide 103 This is the Fishbowl at PES CIT Training Slide 104 About 800 people a month pass through the PES CIT Training Nurse s Station At PES Slide

36 Slide 106 Psychiatric Emergency Services (PES) III Clinical Team Determines Patient Meets 5150 Criteria Process Begins to Admit Patient to Acute Care Facility If no beds available immediately Patient is held at PES ** INSURANCE will determine which facility patient is admitted to Patient is Moved As soon as a Bed Becomes Available Contra Costa Regional Medical Center Psychiatric Unit - 4 C John Muir Behavioral Health Other Contracted Acute Care Facilities outside Contra Costa Slide Laura s Law Started February 1, 2016 This is the Front Page of the NAMI Newsletter Slide 108 Mental Health Systems Has been contracted with to manage the program. For a Loved One to qualify To be in the Laura s Law program There are nine points that have to be met. They are to the left. They are shown on the front page of the April NAMI Newsletter

37 Slide Slide Slide 111 Laura s Law Civil Court - Assisted Outpatient Tx I Laura s Law - California s Assisted Outpatient Treatment 9 Criteria for Assisted Outpatient Treatment is: 1) Adults (18 years+) diagnosed with serious mental illness 2) Persons with history of resisting mental health treatment 3) Unlikely to survive in community without supervision 4) Person whose condition is seriously deteriorating (gravely disabled) 5) Consumer who needs least restrictive placement for recovery

38 Slide 112 Laura s Law Civil Court - Assisted Outpatient Tx II Court Ordered Mental Health Treatment (ACT Model) Eligibility for Assisted Outpatient Treatment 6) Person has been hospitalized or incarcerated twice in last 36 months due to serious mental illness 7) Person has committed one or more acts of serious violent. behavior to self or others within last 48 months 8) Has been offered ACT level of care, but repeatedly failed 9) Needs treatment to prevent grave disability, serious harm to self or others Slide 113 Mental Health Systems, Inc Slide

39 Slide 115 Chief Public Defender Robin Lipetzky Criminal Justice System I Contra Costa County Office of the Public Defender Office of the Public Defender 800 Ferry Street Martinez, CA Phone: (925) Fax: (925) Slide 116 Criminal Justice System II Mark A. Peterson, District Attorney mpeterson@contracostada.org Greg Chiarella Deputy District Attorney gchiarella@contracostada.org 900 Ward Street Mental Health Litigation. 4 th Floor Martinez, CA Phone: Fax: (925) Hours 8:00 am - 5:00 pm Monday - Friday Slide 117 Probation Potentially A Positive Development 117

40 Slide 118 Adult Mental Health Service Map Central County Civil Court - Assisted Outpatient Tx IV Slide 119 Criminal Justice System IV Behavioral Health Court (BHC) Clients Opt-Into Behavioral Health Court vs. serving jail or prison time 2 year/4 Phase intensive clinical case management program (ACT Model) Treatment for chronic mental illness, substance abuse addiction & criminal behavior Clients remain on probation and receive caseworkers (hired by Sheriffs Department) BHC Clients receive coaching for: Mental illness symptom management Daily living skills Medication management Problem solving Health management Accountability & responsibility Slide 120 Criminal Justice System V Behavioral Health Court (BHC) Intensive clinical case management program Evidence Based Model Launched in to 25 Dual Diagnosis clients Clients transition to long term mental health treatment program post graduation Contra Costa County Behavioral Health Court (BHC) 835 Castro Street Behavioral Health Court (BHC) Martinez, CA Martha Marti Wilson, PhD, Team Lead Phone: (925) Forensic Mental Health (right) with Fax: (925) Suzanne Davis ( left) and Judge Mary 2016 O Malley (center) 120 E mail: mwilson@hsd.cccounty.us

41 Slide 121 Suicide Prevention Facts About Mental Illness and Suicide According to NAMI National ( American Foundation for Suicide Prevention ( Research Advocacy Education It would be advisable to go in person to the Contra Costa Crisis Center and talk with them about suicide. They are located in the Shadelands Office Park in Walnut Creek Slide 122 Suicide Prevention II Be Alert to Warning Signs Notify a Mental Health Provider Suicidal ideation can begin with seemingly harmless thoughts like a person saying, I wish I wasn t here. Increased alcohol and drug use Aggressive behavior Social withdrawal from friends, family and the community Dramatic mood swings Slide 123 Suicide Prevention III If you or someone you know is in an emergency, call Contra Costa Crisis Center Suicide Hotline (800) National Suicide Prevention Lifeline (800)

42 Slide 124 Suicide is a permanent solution.. To a temporary problem. John Bateson Author of: The Final Leap 124 Slide 125 Knowing YOUR Insurance is CRUCIAL! DO YOU KNOW? If your Loved One is... Transported to PES on a 5150 Hold, who pays for the ambulance? Transferred from PES to an Acute Care psychiatric hospital and has. private insurance, how much will services and transportation cost? Discharged from an Acute Care hospital, admitted to a Sub-Acute mental. program or Crisis Residential Facility (CRF), will it be in Contra Costa? Will hospital staff contact me when he/she is discharged? Not stable enough to return to the community, but not appropriate to. remain in PES or in Acute Care can he/she go to a CRF? Slide 126 Medi-Cal in California Is Your Loved One Insured? (Medicaid) (1) Person household who earns less than approximately $1,300 per. month and eligibility requirements - 138% Poverty Level Apply in person at Contra Costa County Employment & Human Services. East, Central and West Co. locations Online at Toll Free at (877) Medi-Cal Programs CalWorks: Health insurance, CalFresh, CalWorks,. SSI/SSP, Refugee Assistance, Foster Care and Adoption Assistance

43 Slide 127 Contra Costa County Central County & West County Offices ADVOCACY FOR THE FAMILY N N MISSION Susan Kim, Executive Director Bring together our community to support the healing of family violence survivors, and to integrate capable partners with a comprehensive service approach to renew individuals and our community from a trauma of family violence Slide 128 ADVOCACY For The Family II Family Justice Center - Concord - One Stop Resource Center Comprehensive and integrated wrap-around services in the pursuit of justice, hope, and healing For victims of domestic violence, sexual assault, child abuse, elder abuse, and human trafficking 30+ agencies provide direct support & assistance to survivors of interpersonal and family violence Reduce trauma for victims having to retell story multiple times, file documents right away, to close cases quickly Slide 129 Advocacy Clubhouse Members Putnam Clubhouse Mental Health Social & Vocational Rehabilitation Program Program participants called members share ownership and responsibility for the success of the organization called The Clubhouse. Recovery from serious mental illness is achieved at the Putnam Clubhouse Clubhouse through restorative work and work-mediated 3024 Willow Pass Road relationships with fellow members and a small staff. Suite 203 Concord, CA Members spend the day in an accepting environment, Phone: (925) performing valuable work to support running the Fax: (925) organization, enjoy opportunities to socialize, learn and grow through wellness activities, expressive arts, education Tamara Hunter Director and paid employment assignments

44 Slide 130 Clubhouse 3024 Willow Pass Road NAMI Contra Costa 30 Concord, California Slide 131 Recovery Innovations International 131 Slide

45 Slide 133 Advocacy Mental Health Consumer Recovery Innovations International Mental Health Wellness & Recovery Program Program participants or Citizens embark or expand. on their mental health recovery journeys in Wellness City communities Recovery Innovations 2975 Treat Blvd., Suite C-8 Concord, CA Phone: (925) Fax: (925) Those new to the journey learn to identify personal strengths and challenges Wellness coaches work alongside supporting citizens to develop personalized plans, learn new skills and set goals Slide 134 Three Tier Service Model Rainbow Community Center Slide 135 RCC Mission Statement The Rainbow Community Center of Contra Costa County (RCC) builds community and promotes well-being among Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning (LGBTQ) people and our allies. Our goal is to provide a safe, supportive and respectful environment for LGBTQ people of all ages, socio-economic status, races, cultures and religions. We strive to create services and activities that will promote the well-being of our community by providing professional services, peer support, referral services, social opportunities and educational programs of interest to our community as well as to the community at large.

46 Slide 136 Rainbow Community Center RCC is located at 2118 Willow Pass Road in Concord CA We began in 1992 as a satellite office of the Berkeley-based Pacific Center. Our founders wanted to develop programs to reduce isolation of LGBTQ people; provide a space for community development; and serve as an alternative to gay bars RCC is the only community center serving the Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) community in Contra Costa County Slide 137 Advocacy - Veterans Veterans Support Services Benefit Support U.S. Department of Veterans Affairs Department of Defense California Department of Veterans Affairs Contra Costa County Veterans Service Office 10 Douglas Drive, Suite # 100 Martinez, CA Comprehensive benefit counseling Claim development, preparation & submission Case Management Networking with federal, state and local agencies Phone: (925) Information & Referrals Fax: (925) Crisis Intervention Social Security Nathan D. Johnson Veterans Service Officer Public Assistance Homeless Services Slide 138 Mental Health Advocacy NAMI Contra Costa Education Support Advocacy

47 Slide 139 NAMI Monthly Newsletter Distributed The Early Part of Each Month Mailed FREE To Paid Members Slide 140 At the top of Each Newsletter Slide 141 Pleasant Hill The next Family to Family Class begins: September 2016 Pleasant Hill Brentwood

48 Slide 142 NAMI Website NAMI Monthly Newsletter Top NAMI Affiliate Newsletter in CA NAMI 24 x7 Phone: (925) Contra Costa II Crisis Intervention Training(NAMI helps Fund) NAMI In Our Own Voice Speakers Bureau Slide 143 Contra Costa V NAMI Contra Costa Support Groups NAMI Family Member Third Monday Monthly Support Group John Muir Medical Center Walnut Creek 7:00 9:00 p.m. Facilitators: Sharon Madison & Robert Thigpen, CCC Family Advocate NAMI Writer s Group NAMI West County Support Group Bipolar Chill Community Support Groups All are on page 2 of every NAMI Newsletter Slide 144 Page 2: NAMI Newsletter Sun341P

49 Slide 145 Remember 145 Slide 146 You will ALWAYS Have the information You need by simply E Mailing: xnamicc@aol.com Slide 147 Which is at the top of every NAMI Newsletter Which is always on the Website

50 Slide 148 The Website: namicontracosta.org Slide 149 All this is so you won t feel lost! Slide 150 Thank you and Good Evening!

51 Slide 151 And now to Your Questions Slide